OrganizationActive
Passport Health
NPI 1306544168 · Public Health & General Preventive Medicine Physician · Lynwood, WA
Provider details
- NPI number
- 1306544168
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Victoria Sowards, Director Compliance(480) 646-9028
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
19101 36 Avenue W
Suite 208
Lynwood, WA 98036
Phone: (877) 358-8648
Fax: (877) 877-6875
Approximate (ZIP-level) locationGet directions
Mailing address
668 N 44 St
Phoenix, AZ 85008
Registry dates
- Enumerated
- 2023-02-21
- Last updated
- 2023-02-21
- Certified
- 2023-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.